Postgraduate Program in Dental Sciences, Area of Concentration in Stomatology and Oral Pathology, Federal University of Rio Grande do Norte, Natal, Brazil.
School of Dentistry, Postgraduate Program in Dentistry, University of Pernambuco (UPE), Recife, Pernambuco, Brazil.
Anat Histol Embryol. 2024 Mar;53(2):e13024. doi: 10.1111/ahe.13024.
Changes in the expression of nuclear β-catenin are responsible for tumorigenesis. Beta-catenin acts synergistically with the TGF-β/BMPs pathway. This interaction leads to greater dentin deposition and may explain the differences between distinct tooth morphologies and hamartomas. The aim of this study was to investigate the role of β-catenin, BMP4 and TGF-β in the development of odontomas. This cross-sectional, retrospective, immunohistochemical study evaluated 30 compound odontomas, 30 complex odontomas and 17 tooth germs. The results showed that BMP4 and TGF-β were more immunoexpressed in the ectomesenchyme of complex odontomas (median = 33.7, p < 0.001; median = 76.4, p = 0.002, respectively). Higher immunoexpression of BMP4 and TGF-β was also observed in the epithelium of tooth germs (median = 2.0, p < 0.001; median = 120.3, p < 0.001, respectively). TGF-β and BMP4 showed a positive and significant correlation (p < 0.001). Both TGF-β and BMP4 were positively correlated with nuclear β-catenin in ectomesenchyme (p = 0.047 and p = 0.023, respectively). Developing teeth exhibited higher concentrations of the proteins studied in odontogenic epithelium, especially during the bud and cap stages. Higher immunoexpression in odontomas occurred mainly in the ectomesenchyme. We therefore suggest that changes in the ectomesenchyme can lead to the development of odontomas.
核 β-连环蛋白表达的改变是肿瘤发生的原因。β-连环蛋白与 TGF-β/BMPs 途径协同作用。这种相互作用导致更多的牙本质沉积,这可能解释了不同牙齿形态和错构瘤之间的差异。本研究旨在探讨β-连环蛋白、BMP4 和 TGF-β 在牙瘤发生中的作用。本横断面、回顾性免疫组织化学研究评估了 30 例复合牙瘤、30 例复杂牙瘤和 17 例牙胚。结果表明,BMP4 和 TGF-β 在复杂牙瘤的外胚间充质中的免疫表达更高(中位数=33.7,p<0.001;中位数=76.4,p=0.002)。牙胚的上皮中也观察到 BMP4 和 TGF-β 的免疫表达更高(中位数=2.0,p<0.001;中位数=120.3,p<0.001)。TGF-β 和 BMP4 之间呈正相关(p<0.001)。外胚间充质中的 TGF-β 和 BMP4 与核 β-连环蛋白均呈正相关(p=0.047 和 p=0.023)。在牙源性上皮中,发育中的牙齿表现出更高浓度的研究蛋白,尤其是在芽和帽阶段。牙瘤中更高的免疫表达主要发生在外胚间充质中。因此,我们认为外胚间充质的变化可能导致牙瘤的发生。
Anat Histol Embryol. 2024-3
Vet Pathol. 2020-1
J Oral Pathol Med. 2007-8
J Formos Med Assoc. 2003-12
Clin Case Rep. 2022-4-4